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Ozanimod

Phase 3

Relapsing Multiple Sclerosis | Small molecule | Immunology |Bristol-Myers Squibb Company|Last Updated: Feb 11, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment1,578
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02047734Efficacy and Safety Study of Ozanimod in Relapsing Multiple SclerosisPHASE3 COMPLETED 1,320Dec 3, 2013Apr 13, 2017Feb 11, 2021299 United States, Belarus +19
NCT01628393Efficacy and Safety Study of Ozanimod (RPC1063) in Relapsing Multiple Sclerosis PatientsPHASE2 COMPLETED 258Sep 18, 2012May 11, 2016Feb 11, 202158 United States, Belgium +11
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Study Endpoints
Primary Endpoints
Adjusted Annualized Relapse Rate (ARR) at the End of Month 24
At the end of month 24

A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of confirmed relapses divided by the total number of days in the study \* 365.25. ARR was based on a Poisson regression model, adjusted for region (Eastern Europe vs Rest of the World), age, and the Baseline number of gadolinium-enhancing lesions, and included the natural log transformation of time on study as an offset term.

Total Number of Gadolinium-Enhancing (GdE) Lesions Assessed on Brain Magnetic Resonance Imaging (MRI) From Week 12 to Week 24
From Week 12 to Week 24; MRI was performed at Weeks 12, 16, 20, and 24

The cumulative number of total GdE lesions on MRI from Week 12 to Week 24. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.

Secondary Endpoints
Adjusted Mean Number of New or Enlarging Hyperintense T2-Weighted Brain Magnetic Resonance Imaging (MRI) Lesions Per Scan Over 24 Months
24 month treatment period; MRI scans were performed at Months 12 and 24
Adjusted Mean Number of Gadolinium Enhancing Brain Lesions at Month 24
Month 24
Time to Onset of Disability Progression Confirmed After 3 Months
From first dose to the end of the 24-month treatment period
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ozanimod 0.5 mgEXPERIMENTALOzanimod 0.5 mg oral capsules daily and a weekly intramuscular placebo injection (identical in appearance to Interferon) for 24 months.
Ozanimod1 mgEXPERIMENTALOzanimod 1 mg oral capsules daily and a weekly intramuscular placebo injection (identical in appearance to Interferon) for 24 months.
Interferon β-1aACTIVE_COMPARATORinterferon beta-1a (IFN β-1a) 30 µg intramuscular (IM) injection weekly and matching placebo capsules (identical in physical appearance to ozanimod) orally daily for 24 months.
Ozanimod 1 mgEXPERIMENTALParticipants received ozanimod 0.5 mg oral capsules daily for 24 weeks. Participants who completed the 24-week treatment period had the option to enter the blinded extension period and continue to receive ozanimod 1 mg weekly for another 96 weeks.
PlaceboPLACEBO_COMPARATORParticipants received placebo to ozanimod oral capsules daily for 24 weeks. Participants who completed the 24-week treatment period had the option to enter the blinded extension period and were randomized to receive ozanimod 0.5 mg or 1 mg weekly for 96 weeks.
Interventions
NameTypeDescription
OzanimodDRUGOral capsule, daily for 24 months
Ozanimod placeboDRUGOral capsule, daily for 24 months
Interferon beta-1aDRUGIntramuscular injection, 30 µg, weekly for 24 months
Interferon beta-1a placeboDRUGIntramuscular injection, weekly for 24 months
PlaceboDRUGOral capsule taken once a day
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersNo
Study Sites299

Inclusion Criteria: * Multiple sclerosis as diagnosed by the revised 2010 McDonald criteria * Expanded Disability Status Scale (EDSS) score between 0 and 5.0 at baseline Exclusion Criteria: * Primary progressive multiple sclerosis

Countries:United StatesBelarusBelgiumBosnia and HerzegovinaBulgariaCanadaCroatiaGeorgiaGreeceHungaryItalyMoldovaPolandRomaniaRussiaSerbiaSlovakiaSouth AfricaSpainUkraineUnited Kingdom
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